What is a occurrence code on a claim?
Occurrence Codes identify a significant event relating to an institutional claim that may affect payer processing. These codes are claim-related occurrences that are related to a time period (span of dates).
What is a 18 occurrence code?
28 – Patient and/or spouse’s GHP is secondary to Medicare. FLs 32 thru 36 – Occurrence Codes and Dates.–The following occurrence codes must be completed. where applicable: 18 – Date of retirement (patient/beneficiary) 19 – Date of retirement (spouse)
What is Medicare occurrence code 50?
Occurrence Code 50: Assessment Date Definition: Code indicating an assessment date as defined by the assessment instrument applicable to this provider type (e.g. Minimum Data Set (MDS) for skilled nursing). (For IRFs, this is the date assessment data was transmitted to the CMS National Assessment Collection Database).
What is an 05 occurrence code?
05 Other Accident Code indicates the date of an accident not described by the above codes. This code is used to report that the provider has developed for other casualty related payers and has determined there are none. (Additional development not needed.)
What is a 55 occurrence code?
The National Uniform Billing Committee (NUBC) approved a new occurrence code to report date of death with an effective/implementation date of October 1, 2012. Medicare systems shall accept and process new occurrence code 55 used to report date of death.
What is an occurrence code 24?
Reported with VC 14 or 47. If filing for a Conditional Payment, report with Occurrence Code 24. 03. Accident/Tort Liability – Date of an accident/injury resulting from a third party’s action that may involve a civil court action in an attempt to require payment by third party, other than No-Fault.
What is an occurrence code 32?
Occurrence code 32 on a claim signifies that an ABN, Form CMS-R-131, was given to a beneficiary on a specific date. This code must be employed if this specific ABN form is given, and condition code 20 will not be used on the subsequent claim (i.e., no charges will be submitted as non-covered).